TRANSFER-IN RECOMMENDATION FORM
If you are planning on transferring from a school in the United States, you must complete the transfer application process by having
this Transfer-In Recommendation Form completed. If this form is not returned, we cannot complete your transfer application
process.
To Be Completed By Student:
Student Name _______________________________________________________ SEVIS ID Number __________________________
Address _____________________________________________________________________________________________________
Number &Street City State/Province Country Zip Code
Email Address __________________________________________________ Telephone ____________________________________
Student Signature _______________________________________________ Date ________________________________________
TO BE COMPLETED BY AN F-1 INTERNATIONAL STUDENT DESIGNATED SCHOOL OFFICIAL (DSO):
NOTE:
This form is NOT a Transfer Release Form. DO NOT release student’s SEVIS record unt il you have proof of acceptance
ACADEMIC
Enrolled in ESL STUDIES Dates of Attendance: From ___________________To _____________________
FULL TIME
Select One PART-TIME If part-time, please explain ____________________________________________
If student is in ESL studies, how many levels of ESL do you offer? ___________What is the student’s current level? _______________
Yes No
No
Last Semester
If the student is in high school studies, please provide student graduation date:
The student has been authorized for Reduced Course Load (RCL):
The student is in good standing with USCIS and is maintaining his/her F-1 status:
Yes
If No, please explain ___________________________________________________________________________________________
Please list all beginning and ending dates of practical training: OPT Start Date____________________ End Date _________________
CPT (Please circle Full Timeor Part Time) Start Date____
________________ End Date
Comments you feel would be appropriate
:
Name of Institution in SEVIS _________________________________________ School SEVIS Code
Address
Number & Street City State Zip Code
Telephone Number ___
_________________ Fax Number_____________________ Email Address
DSO Name and Title
DSO Signature ____________________________________________________________________________ Date ________________________
Month/Date/Year
**Official SEVIS record release date: Upon receipt of PCC’s Acceptance Letter and (if required) student’s written request.
Important Note: All Paper Work Requests Have a 10-work day Turn-around Period
Revised 5/2/2014 1570 East Colorado Blvd. D-204 • Pasadena, CA 91106-2003 • (626) 585-7808 • FAX (626) 585-3268
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